Samson Goitom Tesfaselassie

Pharmacist · Forney, TX

Individual Active NPI

NPI number 1013647338

Practice location

451 FM 548
Forney, TX 75126-6288
Phone
(972) 552-1633

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NPI record

NPI
1013647338
Entity type
Individual (Type 1)
Enumeration date
June 10, 2022
Last updated
June 10, 2022
Certified
June 10, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 62052 TX

Mailing address

2625 Empire Dr Apt 5127
Richardson, TX 75080-0111
Phone
(773) 319-2437

Other practice locations (1)

  • 5950 Broadway Blvd, Garland, TX 75043-5822 · (972) 303-3191

About Samson Tesfaselassie

Samson Goitom Tesfaselassie is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 451 FM 548, Forney, TX 75126-6288. The NPI number 1013647338 was assigned on June 10, 2022 and the record was last updated on June 10, 2022.

Samson Tesfaselassie lists a license in the registry: #62052 (TX) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Samson Goitom Tesfaselassie?

The NPI number is 1013647338.

What is the phone number of Samson Tesfaselassie?

The phone number listed for the practice location is (972) 552-1633.

Where is Samson Tesfaselassie located?

451 FM 548, Forney, TX 75126-6288.

What is the taxonomy code for Samson Tesfaselassie?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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